Maria C Petty, NURSE PRACTITIONER
NPI #1114204419 in Willoughby, Ohio
Provider Information
- NPI Number
- 1114204419
- Entity Type
- Individual
- Name
- Maria C Petty, NURSE PRACTITIONER
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Primary Care
- Credential
- NURSE PRACTITIONER
- Enumeration Date
- Nov 15, 2011
- Last Updated
- Jul 8, 2021
Practice Location
- Address
- 35000 KAISER CT
- City
- Willoughby
- State
- Ohio
- ZIP Code
- 44094-3382
- Phone
- (440) 269-4600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Gerontology — Gerontology |
| Nurse Practitioner - Primary Care — Primary Care |
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